Emily Aquadro, MD
Individual provider Active NPI Psychiatry Physician · Savannah, GA
NPI 1417418344 · NPPES record last updated Aug 13, 2021
Key facts
- NPI
- 1417418344
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 89240 (GA)
- Practice address
- 601 E 66TH St
Savannah, GA 31405-4519 - Phone
- (912) 662-0088
- NPI assigned
- Mar 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gateway Community Service Board
Practice addresses (Care Compare)
600 Coastal Village Dr
Brunswick, GA 31520-1973
Phone (912) 554-8000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211227000285 | GA | Practitioner - Psychiatry | 6204169568 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89240 | GA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Rivers CSB | Current |
Accepting new patients | |
| Highland Rivers Community Service Board | Current |
Accepting new patients | |
| Gateway Behavioral Health Services | Current |
Accepting new patients | |
| Gateway Community Service Board | Current |
Accepting new patients | |
| Gateway Behavioral Health Services | Past | Accepting new patients |
Locations
700 Coastal Village Dr
Brunswick, GA 31520
Phone (912) 554-8400
600 Coastal Village Dr
Brunswick, GA 31520
Phone (912) 449-7111
191 Lamar Haley Pkwy
Canton, GA 30114
Phone (770) 704-1600
1503 N Tibbs Rd
Dalton, GA 30720
Phone (706) 229-4507
1113 E Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 280-7023
800 E 70th St
Savannah, GA 31405
Phone (912) 692-0606
4451 Paulsen St
Savannah, GA 31405
Phone (912) 350-7500
601 E 66th St
Savannah, GA 31405
Phone (912) 503-9539
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 10860 | GA | |
| Psychiatry Physician | 2084P0800X | 89240 | GA | Yes |
Addresses
Primary practice location
601 E 66TH St
Savannah, GA 31405-4519
Mailing address
601 E 66TH St
Savannah, GA 31405-4519
Phone (912) 373-6854
Other providers in Savannah, GA
- Applecare Memorial Immediate Care Joint Venture LLC
- Jennifer Kay Appleyard
- Chelsea L Appling
- Apria Healthcare LLC
- Apricott Ga LLC
- George C Aragon
- Jess Joseph Arcure
- Arcway
- Michael Allen Ard-Kelly
- Barry Arem
All providers in Savannah, GA · Psychiatry Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.